Our client, a reputable insurance firm, is seeking an experienced Senior Claims Adjuster to join their established team in Thane, Maharashtra, IN . This demanding role requires a thorough understanding of insurance policies, claims investigation, and negotiation. The Senior Claims Adjuster will be responsible for managing complex claims from inception to resolution, ensuring fair and efficient settlement while upholding company standards and customer satisfaction. This is a full-time, office-based position.

Responsibilities

Investigate, evaluate, and negotiate a high volume of complex insurance claims across various lines of business (e.g., property, casualty, auto). Gather and review claim documentation, including policy information, incident reports, and evidence. Conduct interviews with claimants, witnesses, and relevant parties to obtain detailed information. Determine coverage and liability based on policy terms and conditions, and applicable laws. Appoint and manage external adjusters, appraisers, and legal counsel when necessary. Negotiate settlements with claimants and their representatives, striving for fair and equitable resolutions. Prepare detailed claim files, including reports, recommendations, and settlement documentation. Ensure claims are processed in compliance with company policies, regulatory requirements, and industry best practices. Maintain accurate and up-to-date records of all claim activities in the claims management system. Provide exceptional customer service throughout the claims process, acting as a primary point of contact. Mentor and guide junior claims adjusters, sharing expertise and best practices. Identify potential fraud indicators and escalate suspicious claims for further investigation.

Qualifications

Bachelor's degree in Business Administration, Finance, Law, or a related field. Minimum of 5-7 years of experience as a Claims Adjuster, with a significant portion handling complex claims. Strong knowledge of insurance policies, claims procedures, and relevant legal frameworks. Excellent investigative, analytical, and problem-solving skills. Proven negotiation and conflict resolution abilities. Proficiency in claims management software and standard office applications. Exceptional communication, interpersonal, and customer service skills. Ability to work independently, manage a caseload effectively, and meet deadlines. Relevant professional certifications (e.g., CPCU, AIC) are highly desirable. Integrity and a strong ethical compass.

This role offers a competitive compensation package, benefits, and the opportunity to work with a stable and respected insurance provider. The ideal candidate will possess a keen eye for detail, strong decision-making skills, and a commitment to professional excellence in claims management.